Persistent Eye Flickering: Causes and Concerns - Ophthalmology

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Eye blinking


Hello, Doctor Gao.
I am the person who inquired about #208076.
I apologize for asking a few more questions.
I have been reading more and found that most people experience spotty flashes when moving their eyes or only in one eye.
However, in my case, whether my eyes are open or closed, and without moving them, I still see a flickering sensation while looking straight ahead.
It’s not a linear flicker or a dimming effect like a dying light bulb; it resembles a sparkling effect.
I would like to know if this continuous flickering, which occurs regardless of whether my eyes are open or closed, is a normal condition for floaters.
It has been persistent throughout the day, and the flickering frequency matches my heartbeat.
I recall you mentioning that such flickering could also be a sign of retinal detachment or a tear.
Although my examination yesterday showed no issues, I am still experiencing this flickering sensation in both eyes, which is uncomfortable and has caused me anxiety to the point of feeling nauseous.
I am very worried because everything I look at has this flickering effect.
I wonder if I should be particularly attentive to any darkening or distortion in my vision, as well as any shadows or lightning-like flashes.
Is that correct? I have been confused about whether to be concerned about large flashes or lightning-shaped flashes or what type of flashes to watch for.
Additionally, due to dry eyes and my tendency to overthink, I plan to buy a warm compress eye mask to help with sleep, as I have been having trouble sleeping.
I would like to ask if this would not put a strain on my eyes.
I apologize for bothering you again due to my anxiety.

Jiao Lv Da Xue Sheng, 20~29 year old female. Ask Date: 2024/05/03

Dr. Gao Pilin reply Ophthalmology


Hello: Based on the symptoms you described, including persistent flickering sensations and a flickering frequency synchronized with your heartbeat, this may be related to vitreous traction on the retina.
Since no issues were found during yesterday's examination but the symptoms persist and are causing you anxiety, it is advisable to return to an ophthalmologist for a follow-up examination to ensure there are no new or undetected problems.
Common symptoms of retinal detachment include: - Lightning-like flashes or lights.
- The appearance of dark spots or shadows in the visual field.
- Changes in the visual field, such as distortion or blurriness.
The sensation of flashes can vary, including lightning shapes, lights, or other forms.
If there is darkening or distortion in your vision, this may indicate a retinal issue.
If the flashes are similar to what you experienced before the examination, it is likely not a cause for concern.
Regarding the use of a warm compress eye mask, generally, this should not put a strain on your eyes; rather, it can help relieve dryness and promote relaxation.
However, it is recommended to choose a high-quality product and follow the usage instructions.
Given your heightened anxiety and the persistence of symptoms, it is advisable to have another eye examination to ensure there are no issues with your eyes, which may help reduce your anxiety.

Reply Date: 2024/05/03

More Info


Dear Patient,
Thank you for reaching out with your concerns regarding the persistent flickering in your vision. I understand how distressing it can be to experience unusual visual symptoms, especially when they are continuous and affect your daily life. Let's delve into the potential causes and considerations regarding your situation.

The flickering sensation you describe, which occurs regardless of whether your eyes are open or closed, is indeed concerning. It is important to differentiate between various types of visual disturbances. Flickering lights or flashes can sometimes be associated with retinal issues, such as retinal detachment or tears. However, since you recently underwent a thorough eye examination and were informed that your retina is healthy, we can explore other possibilities.

One potential explanation for your symptoms could be related to a condition known as photopsia, which refers to the perception of flashes of light that are not actually present in the environment. This can occur due to various reasons, including migraines, vitreous detachment, or even stress and anxiety. Given that you mentioned feeling anxious and experiencing nausea, it is possible that your symptoms are exacerbated by stress, which can lead to visual disturbances.

Another consideration is the possibility of dry eye syndrome, which can cause discomfort and visual fluctuations. If your eyes are not adequately lubricated, you may experience intermittent blurriness or flickering sensations. Using artificial tears or a warm compress, as you mentioned, can help alleviate dryness and improve comfort. A warm compress can also promote relaxation and potentially enhance your sleep quality.

Regarding your concerns about retinal issues, it is crucial to monitor for specific warning signs. You should be vigilant for any changes in your visual field, such as dark spots, distortions, or an increase in the frequency or intensity of the flickering. If you notice any of these symptoms, it is essential to seek immediate medical attention. The "flashes" you should be concerned about typically refer to sudden, bright flashes of light that may resemble lightning or a camera flash, rather than the flickering you are experiencing.

In terms of managing your anxiety related to these symptoms, consider incorporating relaxation techniques into your routine. Practices such as mindfulness meditation, deep breathing exercises, or gentle yoga can help reduce stress levels and improve your overall well-being. Additionally, ensuring you have a consistent sleep schedule and a comfortable sleep environment can significantly impact your eye health and reduce visual disturbances.

Lastly, while it is understandable to be concerned about your symptoms, it is essential to maintain open communication with your eye care provider. If your symptoms persist or worsen, do not hesitate to return for a follow-up examination. Your health and peace of mind are paramount, and your doctor can provide further insights or adjustments to your treatment plan as necessary.

In summary, while your symptoms may be related to stress, dry eyes, or other benign causes, it is crucial to remain vigilant for any significant changes in your vision. Utilizing artificial tears and practicing relaxation techniques may help alleviate your discomfort. Always prioritize your health and seek professional guidance when needed.

Wishing you the best in your journey to better eye health.

Sincerely,
Doctor Q&A Teams

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